ANNMARIE V SHABAZIAN (Credential# 1362334) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ANNMARIE V SHABAZIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003609. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 165 Preston Avenue, Middletown, CT 06457. The current status is active.
| Licensee Name | ANNMARIE V SHABAZIAN |
| Credential ID | 1362334 |
| Credential Number | 23.003609 |
| Credential Type | Physician Assistant |
| Business Address |
165 Preston Avenue Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-06 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1365701 | CSP.0063488 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 847136 | 70.007403 | Emergency Medical Technician | 2006-07-13 | 2010-06-18 - 2013-03-31 | INACTIVE |
| Street Address | 165 Preston Avenue |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan J Civale | 165 Preston Avenue, Middletown, CT 06457 | Notary Public Appointment | 2014-04-01 ~ 2019-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annmarie Fiore Pa-c | 27 Copper Beech Rd, Greenwich, CT 06830 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Annmarie A Bethel | 509 Haddam Quarter Rd, Durham, CT 06422-1709 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Annmarie Sementilli | 37 Elm Street, Monroe, CT 06468 | Family Child Care Assistant | 1997-08-12 ~ |
| Susan L Shabazian | 29 Jeffrey Dr, Farmington, CT 06032-3040 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
| Lauren D Shabazian | 29 Cortland Ln, Sewell, NJ 08080-3033 | Registered Nurse - Temporary | 2011-11-18 ~ 2012-03-17 |
| Annmarie Liapakis | Po Box 208019, New Haven, CT 06520 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Annmarie Errichetti | 49 Devonshire Ter, East Longmeadow, MA 01028-3122 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Annmarie Golioto Md | 30 Sherwood Lane, Cheshire, CT 06410 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Annmarie Caracansi-bizup Md | 25 Glen Road, Brookline, MA 02445 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).